Individual
JULIUS CHUCKS AJIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1770 1ST ST, SUITE 703, HIGHLAND PARK, IL 60035-3200
(847) 433-1539
Mailing address
161 PROVIDENCE DR, MATTESON, IL 60443-1396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
WY
367500000X
Certified Registered Nurse Anesthetist
Primary
209007843
IL
Other
Enumeration date
10/15/2009
Last updated
12/15/2017
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